Senior Claims Adjuster, Specialty Claims

Job Description

Job Description

This full-time position will report to the Senior Manager, Specialty Claims. As a direct report to the Senior Manager, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Professional Liability and General Liability lines of business.

Minimum Qualifications:

• A bachelor's degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience.
• 5-10 years of relevant and progressive experience handling Professional Liability and General Liability claims.
• Adjuster licenses, as mandated by specific states, are required.

Primary Job Functions:

• Direct management of general liability claims with potential for significant severity and complexity.
• Direct management and oversight of professional line claims.
• Direct management of coverage disputes.
• Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.
• Promptly investigating all assigned claims to complete coverage, liability, and damages analysis.
• Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
• Maintain and manage a diary system to efficiently and effectively resolve all claims.
• Present recommendations to management pertaining to coverage, settlement positions and loss reserves.
• Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.).
• Participate in Claim Reviews and claim audits
• Attend depositions, settlement conferences and trials when necessary
• Performs other duties or special projects as required or as assigned by a supervisor

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Skills & Competencies Required:

• Excellent written and verbal communication skills.
• Strong analytical skills.
• Strong negotiation skills.
• In-depth knowledge of claims, litigation, and trial process.
• Excellent organizational and time management skills.
• Proficiency in MS Office (Word, Excel, Outlook).
• Ability to work independently with limited supervision.
• Ability to successfully obtain the required state adjusters’ licenses.

Additional Information:

Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.

The anticipated salary for this position is $90 to $160,000 per year, based on qualifications and experience.

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